DR. MICHAEL E CANNON (MD) – Gastroenterology Physician, NPI 1184613879

DR. MICHAEL E CANNON (MD) is a healthcare provider. based in Troy, Michigan. specializing in Gastroenterology Physician. They hold the professional credentials MD. They hold a License No. 059297 (MI). The NPI Number for DR. MICHAEL E CANNON (MD) is 1184613879

Main info

Male
34 Years Of Experience
Accepts Medicare Assignment
Name
DR. MICHAEL E CANNON (MD)
NPI
1184613879
Phone
(248) 273-9930
Address
264 W MAPLE RD
Enumeration Date
17 October 2005
Last Update Date
21 October 2025

Doctor Profile

Medical School Name
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
2482739930
Graduation Year
1992 (34 years ago)
PAC ID
3173429578
Group Practice PAC ID
4880590264
Professional Enrollment ID
I20101101001465

Contacts

Secure Messaging
mcannon17658@direct.beaumont.edu
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness95
Years active:20State licenses:1Other names

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Provider Addresses for DR. MICHAEL E CANNON (MD)

  • 264, West Maple Road, Troy, Oakland County, Michigan, 48084, United States

    #200

    TROY, MI 480845435

    Phone: (248) 273-9930

    Fax: (248) 273-9931

    Type: Mailing

  • 264 W MAPLE RD STE 200

    TROY, MI 480845458

    Phone: (248) 273-9930

    Fax: (248) 273-9931

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 20 Open Payments records for all available years, with a total value of $428.

Total Amount is formed as General ($428) + Research ($0) + Ownership ($0) = $428.

Last reported payment date: 2024-09-26 • Largest payer in this snapshot: Janssen Biotech, Inc. ($145).

Total Amount

$428

General + Research + Ownership

Payments

20

Total payment records

General Amount

$428

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-26

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-11-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20101101001465IGastroenterologyMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes194144$0
88305Pathology examination of tissue using a microscope, intermediate complexity191100$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes14157$0
43239Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope7068$0
45385Removal of polyps or growths of large bowel using an endoscope with mechanical snare6868$0
View full utilization report →

Insurance plans in this area (ZIP 48084)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4880590264View full group profile
NameSpecialtyState
-MI
G A S T R O E N T E R O L O G YMI
Nurse PractitionerMI
G A S T R O E N T E R O L O G YMI
Physician AssistantMI
G A S T R O E N T E R O L O G YAL
Internal Medicine, GastroenterologyMI
Nurse PractitionerMI
Nurse PractitionerMI
Physician AssistantMI

Reviews

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Frequently asked questions

What is DR. MICHAEL E CANNON (MD)'s NPI number?
DR. MICHAEL E CANNON (MD)'s NPI is 1184613879 — the number used across U.S. healthcare to identify this provider.
Is there an active status for DR. MICHAEL E CANNON (MD)?
For scheduling context, DR. MICHAEL E CANNON (MD) is shown as active in the registry.
What expertise is attributed to DR. MICHAEL E CANNON (MD)?
DR. MICHAEL E CANNON (MD)'s specialty line reads Gastroenterology Physician. Clinical services aligned with this taxonomy classification.
Where in Michigan is DR. MICHAEL E CANNON (MD) registered?
Use Troy, Michigan as the headline location for DR. MICHAEL E CANNON (MD) here.
Can I trust this NPI listing for DR. MICHAEL E CANNON (MD)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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